Introduction to the FCE When and why is the assessment done

Although the widespread use of testing is largely a phenomenon of the 20th century, it has been noted that rudimentary forms of testing date back to at least 2200 B.C., when the Chinese emperor had his officials examined every third year to determine their fitness for office

In 1884, London hosted the International Health Exhibition.

Francis Galton took advantage of this opportunity to set up his anthropometric laboratory. He stated that the purpose of this laboratory was to “show the public the simplicity of the instruments and methods by which the chief physical characteristics of man may be measured and recorded.” The laboratory was an interactive walk-through in which physical characteristics such as height, weight, and eyesight, would be measured for each subject after payment of an admission fee

As an investigator of the human mind, he founded psychometrics (the science of measuring mental faculties
  • First, they would fill out a form with personal and family history (age, birthplace, marital status, residence, and occupation), then visit stations that recorded hair and eye color, followed by the keenness, color-sense, and depth perception of sight.
  • Next, they would examine the keenness, or relative acuteness, of hearing and highest audible note of their hearing followed by an examination of their sense of touch.
  • Their breathing capacity would also be measured, as well as their ability to throw a punch.
  • The next stations would examine strength of both pulling and squeezing with both hands.
  • Lastly, subjects' heights in various positions (sitting, standing, etc.) as well as arm span and weight would be measured.[43]

The first handgrip dynamometer, the Régnier dynamometer, was invented and built by Edme Régnier (Régnier, 1807)

Is pre-employment testing worth it?

  • The average injury costs $30,000.
  • The cost to the employer may be 5 times higher.
  • A $300 pre-employment test reduces the risk of injury.

Normal return to activity

  1. Injury (at work, in car, at home)
  2. Physician provides note to stay off work
  3. Treatment (rest, physio, chiro etc.)
  4. Recovery
  5. Physician clears return to activity

Complicated return to activity

  1. Injury
  2. Physician note to stay off work
  3. Treatment
  4. Partial Recovery
  5. PDA - determine physical demand requirement
  6. FCE - measure ability to perform requirements
  7. Physician clears return to activity

Stakeholders in MVA accident

  1. Auto insurer (is paying for treatment and for lost wages)
  2. Individual
  3. Employer (needs a replacement worker)
  4. Treatment provider
  5. Lawyer (assisting individual)
  6. Independent assessors (providing specialized information)
  7. Physician

Stakeholders in workplace accident

  1. Individual
  2. Physician
  3. Employer
  4. WCB
  5. Treatment provider
  6. Independent assessor
  7. Lawyer

Stake holders in sports injury

  1. Individual
  2. Sports team
  3. Physician
  4. LTD (Manulife, Sunlife, Great West life etc.)
  5. Lawyer
  6. Treatment provider
  7. Independent assessor
  8. Employer


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